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Department of
SOCIAL SERVICES

Community Care Licensing


HOME CARE ORGANIZATION EVALUATION REPORT

Facility Number: 334700009
Report Date: 05/14/2024
Date Signed: 05/14/2024 02:21:11 PM

Document Has Been Signed on 05/14/2024 02:21 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

HOME CARE ORGANIZATION EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 744 P STREET, MS 09-14-90
SACRAMENTO, CA 95814
FACILITY NAME:COMFORT KEEPERSFACILITY NUMBER:
334700009
ADMINISTRATOR:DAVID G. SOMMERFELDFACILITY TYPE:
300
ADDRESS:45445 PORTOLA AVE STE 6TELEPHONE:
(760) 340-2166
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: CENSUS: DATE:
05/14/2024
Required - 2 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Gabriel TinajeroTIME COMPLETED:
02:30 PM
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Home Care Services Bureau (HCSB) analyst Ruben Perez arrived at the business office of Comfort Keepers on 5/14/2024 for a biennial inspection. Upon arrival, the HCSB analyst identified himself and was greeted by Gabriel Tinajero. The proper posting of business hours and license was observed. The analyst was then shown to an area where the review of personnel and administrative files could be performed. Upon completion of the file review the analyst discussed the findings of the inspection with Gabriel and informed the designee that no discrepancies were found.
LICENSING EVALUATOR NAME: Ruben Perez
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

HCS809 (FAS) - (06/04)
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